Complicated Appendicitis-An Update : A Narrative Review

Kumar H, R. *

Department of Surgery, Faculty of Health and Medical Science, School of Medicine, Taylor University, 47500, Subang Jaya, Malaysia.

Soma M.

Department of Surgery, Faculty of Health and Medical Science, School of Medicine, Taylor University, 47500, Subang Jaya, Malaysia.

Saw M. O.

Department of Surgery, Faculty of Health and Medical Science, School of Medicine, Taylor University, 47500, Subang Jaya, Malaysia.

*Author to whom correspondence should be addressed.


Complicated Appendicitis is defined as perforated appendicitis with abscess or mass formation. Its diagnosis and management have been controversial with no consensus on its definition and treatment algorithm. The treatment was initially conservative management, but the current trend is immediate appendectomy by the laparoscopic method. Other areas of controversy include the need for interval appendectomy and the role of percutaneous drainage of appendicular abscess. We have conducted this review article to investigate the definition, diagnosis, and treatment of complicated appendicitis.

Keywords: Complicated appendicitis, appendicular mass, appendicular abscess, appendectomy, laparoscopic appendectomy

How to Cite

Kumar H, R., Soma M., and Saw M. O. 2023. “Complicated Appendicitis-An Update : A Narrative Review”. Asian Journal of Medicine and Health 21 (11):228-35.


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